Document Detail

Pulmonary capillary embolism caused by cryptococcemia in a hemodialysis patient.
MedLine Citation:
PMID:  19203557     Owner:  NLM     Status:  MEDLINE    
In this report, we describe a patient who contracted fatal cryptococcosis after the induction of hemodialysis. A 76-year-old man was hospitalized to initiate hemodialysis. On admission, clinical findings showed no signs of any infections, and hemodialysis was inducted favorably. On the 6th hospital day he suddenly had a dyspnea and died from acute respiratory failure having a dyspnea for only 6 h. By microscopic examination at autopsy, we detected microemboli in the pulmonary capillary arteries caused by Cryptococcus and that the embolic source was a multiple-abscessed spleen. To the best of our knowledge, this is the first reported case of pulmonary capillary microembolism caused by cryptococcemia.
M Eriguchi; T Nagao; T Kamimura; K Sugawara; K Mitsuiki; A Harada
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical nephrology     Volume:  71     ISSN:  0301-0430     ISO Abbreviation:  Clin. Nephrol.     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2009-02-10     Completed Date:  2009-03-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0364441     Medline TA:  Clin Nephrol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  88-91     Citation Subset:  IM    
Kidney Center, Matsuyama Red Cross Hospital, Matsuyama City, Japan.
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MeSH Terms
Cryptococcosis / complications*,  pathology
Fatal Outcome
Fungemia / complications*,  pathology
Kidney Failure, Chronic / complications,  immunology,  therapy*
Pulmonary Embolism / microbiology*,  pathology
Renal Dialysis*

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